While taking the patient's history, the nurse is told that the patient is trying to get pregnant. However, she states she is very fearful she will have another miscarriage
She shares with the nurse that she has lost 2 pregnancies and does not know why. Based on this patient's history, what recommendation should the nurse make?
A) Instruct her to continue to try to get pregnant.
B) Let the patient know that her loss may not occur again.
C) Instruct her on chromosome testing studies.
D) Tell her to have an amniocentesis with the next pregnancy.
Ans: C
Feedback: At the present time, the nurse should instruct the woman on chromosome studies, which may be needed at any age, depending on the indication. Two common indications are a suspected diagnosis such as Down syndrome and a history of 2 or more unexplained pregnancy losses. Telling the patient she will not experience another loss would be a belittling response. She should have an amniocentesis with the next pregnancy, but this is not as imperative as the chromosome studies. It is her choice to have the chromosome studies, but it is important that the nurse explain all the risks surrounding pregnancy and pregnancy loss based on the patient's history.
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The nurse is contributing to the plan of care for a 76-year-old patient with hypertension. Which guideline should be used when following physician orders to treat elevated blood pressure?
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